ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is receiving a change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Correct Answer: D
Rationale: Set client-centered, measurable and realistic goals: This occurs during the planning stage, after data collection and analysis. Critically analyze client data to determine priorities: This step happens after data collection during the diagnosis phase. Determine effectiveness of interventions: This is part of the evaluation stage, which comes after planning and implementation. Collect and organize client data: This is the first step in the nursing process, where the nurse gathers comprehensive information about the client's physical, psychological, sociocultural, developmental, and spiritual needs.
Question 2 of 5
A client who is bleeding profusely from a stab wound is brought to the emergency department. Which type of assessment is most appropriate for this client?
Correct Answer: A
Rationale: Emergency: This type of assessment is rapid and focuses on identifying and treating life-threatening conditions immediately, such as profuse bleeding from a stab wound. Time-lapse: This assessment compares current client data to previous data to assess progress, which is not appropriate for an acute, life-threatening situation. Focused: While this is a detailed assessment of a specific problem area, an emergency assessment is needed first for immediate threats to life. Initial: This is a comprehensive assessment typically conducted when a client first enters a healthcare setting, but in an emergency, the focus shifts to immediate lifesaving measures.
Question 3 of 5
A nurse is assessing a 12-month-old infant who is brought to the clinic by the parents for a well-child visit. The nurse reviews the infant's health history and notes that the infant weighed $8 \mathrm{lb}$ at birth. When assessing the infant's weight at this visit,the nurse would anticipate that the infant would weigh approximately how much at this time?
Correct Answer: C
Rationale: 20 lbs: This is a plausible estimate. By 12 months, an infant's birth weight typically triples.
Therefore, an $8 \mathrm{lb}$ birth weight would approximately translate to $24 \mathrm{lbs}$ at 12 months. 32 lbs: This estimate is too high. If an infant's birth weight triples by 12 months, an $8 \mathrm{lb}$ birth weight would not be expected to reach 32 lbs. 24 lbs: An infant's weight usually triples by their first birthday.
Therefore, an infant born weighing $8 \mathrm{lbs}$ would be expected to weigh about $24 \mathrm{lbs}$ at 12 months. 16 lbs: This is an underestimate. An $8 \mathrm{lb}$ infant would double their birth weight by about 4 to 6 months, and by 12 months, they would typically have tripled their birth weight to around $24 \mathrm{lbs}$.
Question 4 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: Sheepskin heel pad: A sheepskin heel pad provides cushioning to prevent pressure ulcers but does not prevent plantar flexion contractures as it does not keep the foot in a neutral position. Abduction pillow: An abduction pillow is used to maintain hip abduction and alignment, typically after hip surgery. It does not address foot positioning or prevent plantar flexion. Footboard: A footboard helps maintain the feet in dorsiflexion, preventing plantar flexion contractures. It keeps the feet at a 90-degree angle to the legs, which is essential for preventing contractures. Trochanter roll: A trochanter roll is used to maintain the alignment of the hips and prevent external rotation of the legs. It does not prevent plantar flexion contractures.
Question 5 of 5
At the end of the shift,the nurse documents that the client has voided $475 \mathrm{ml}$ during the shift via an indwelling urinary catheter. What type of data has the nurse documented?
Correct Answer: C
Rationale: Covert: Covert data refers to information that is hidden, subjective, or not immediately observable, such as symptoms reported by the client. Voided volume is measurable and observable, so it is not covert. Subjective: Subjective data is information reported by the client, such as feelings, perceptions, or symptoms. Since the urine output is a measurable and observable fact, it is not subjective. Objective: Objective data is factual, measurable, and observable. The voided volume of $475 \mathrm{ml}$ is a precise, quantifiable measurement, making it objective data. Symptomatic: Symptomatic data pertains to symptoms experienced by the client, which are typically subjective. The documented urine output is a specific, quantifiable measurement and not a symptom.